2026 NPPES data Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician NPI 1851594436 M.D.
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MICHAEL FALLUCCO, M.D.

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in JACKSONVILLE, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
438
Medicare Part D claims · 77 beneficiaries · Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician avg: 193
MIPS score
79.2624/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$523.95
13 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL FALLUCCO, M.D. is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician ([object Object]) practicing in JACKSONVILLE, Florida with a Medicare Part D prescribing footprint of 438 claims across 77 beneficiaries . Their CMS MIPS Final Score of 79.2624/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $523.95 across 13 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL FALLUCCO, M.D. reported a CMS MIPS final score of 79.2624 out of 100, below the 83.1 national average, and filed 438 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MICHAEL FALLUCCO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MICHAEL FALLUCCO, M.D. at a glance

Near national average

NPI registry status

Active

Issued 06/08/2007

NPI 1851594436

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Rare

179 US NPIs in this specialty

Medicare Part D claims

438 127% vs specialty avg

2023 prescription claims

Specialty avg: 193

MIPS final score

79.2624/100 3.837599999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician compares to other specialties among Florida providers

Florida providers

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician share within Florida

1. Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician share within Florida

Medicare quality performance — MIPS

MICHAEL FALLUCCO, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician national average

Near national average
MIPS Final Score
79.2624/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician) — 79.2624/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician) — 79.2624/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MICHAEL FALLUCCO, M.D. is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician provider practicing in JACKSONVILLE, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1851594436. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MICHAEL FALLUCCO, M.D. appears in the CMS NPPES registry as a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician provider holding M.D. credentials at 14540 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL, 32258, with a listed phone of (904) 262-3372. NPI 1851594436 was issued on 06/08/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FALLUCCO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 438 prescription claims written by this provider, covering 77 Medicare beneficiaries and totaling roughly $8K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.2624/100 for the 2023 performance year (Quality 64.4771), compared with the national average of 83.1.

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician is a narrow specialty nationwide, with 179 enrolled providers across 39 states and an average of 193 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

14540 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

Provider Details

NPI 1851594436
Specialty Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 06/08/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

79.2624
Final Score
Avg: 83.1
64.4771
Quality
96
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL FALLUCCO, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

NORTH FLORIDA SURGEONS, PA
JACKSONVILLE, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MICHAEL FALLUCCO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$524

Largest payer

Musculoskeletal Transplant Foundation Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to MICHAEL FALLUCCO, M.D.. To verify MICHAEL FALLUCCO, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

438
Total Claims
$8K
Total Drug Cost
77
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
440
Total Day Supply
4,271
Generic Drug Cost
$4K
Antibiotic Claims
77

Patient Demographics

Average Patient Age
68.4 years
Avg HCC Risk Score
1.47
Gender Split
86% female / 14% male
Age Distribution
<65: 16, 65-74: 45, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Mupirocin
90
Ibuprofen
68
Ondansetron Odt
Ondansetron
67
Gabapentin
59
Cefuroxime
Cefuroxime Axetil
57
Cyclobenzaprine Hcl
50
Doxycycline Hyclate
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Overview

How MICHAEL FALLUCCO, M.D. fits within the Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician landscape nationally.

179
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Providers in US
39
States with Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
193
Avg Claims per Provider

MICHAEL FALLUCCO, M.D.'s 438 claims are above the specialty average of 193.

Nearby Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as FALLUCCO.

Compare Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL FALLUCCO, M.D.'s specialty?
MICHAEL FALLUCCO, M.D. specializes in Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician and practices in JACKSONVILLE, Florida. Credentials: M.D..
How much does MICHAEL FALLUCCO, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL FALLUCCO, M.D. wrote 438 Medicare Part D claims totaling $8K in drug costs for 77 beneficiaries.
What is MICHAEL FALLUCCO, M.D.'s Medicare quality score?
MICHAEL FALLUCCO, M.D. has a CMS MIPS Final Score of 79.2624/100 (Quality: 64.4771). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL FALLUCCO, M.D. located?
MICHAEL FALLUCCO, M.D. is located at 14540 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL, 32258. Phone: (904) 262-3372.
What is MICHAEL FALLUCCO, M.D.'s NPI number?
MICHAEL FALLUCCO, M.D.'s National Provider Identifier (NPI) is 1851594436, issued on 06/08/2007.
How many Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician providers are there in the US?
There are 179 Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician providers across 39 states in the US. The average Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician provider writes 193 Medicare Part D claims per year.
What drugs does MICHAEL FALLUCCO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL FALLUCCO, M.D.'s most frequently prescribed drugs include Mupirocin, Ibuprofen, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL FALLUCCO, M.D. accept Medicare?
MICHAEL FALLUCCO, M.D. appears in CMS Medicare data with 438 Part D claims and 77 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL FALLUCCO, M.D.'s credentials?
MICHAEL FALLUCCO, M.D.'s NPI is 1851594436 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology